As of 30 June 2023, globally, a total of 24 countries reported AWD/cholera outbreaks. In the Eastern Mediterranean Region of WHO, 8 countries namely, Afghanistan, Iraq, Islamic Republic of Iran, Lebanon, Pakistan, Somalia, Syria, and Yemen have reported Ac...ute Watery Diarrhea (AWD)/ suspected cholera cases during 2022. In 2023, 6 out of these 8 countries continued to report AWD/ suspected cholera cases in 2023.
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The risk of communicable diseases remains a humanitarian concern with major health risks including cholera, acute watery diarrhea, bloody ...ss="attribute-to-highlight medbox">diarrhea, malaria and other vector borne diseases and conditions such as severe acute malnutrition.
Access to the affected districts is still conditioned due to the destruction of roads, the telecommunications network and the interruption of electricity.
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Cholera is a diarrheal disease caused by the bacterium Vibrio cholera. The infection primarily spreads through contaminated water and food. Symptoms include the onset of acute ...-to-highlight medbox">diarrhea and/or vomiting, muscle cramps, and body weakness. If untreated, the infection can result in rapid dehydration and death within hours.
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In Yemen, the poorest country in the Middle East, 3 million children have been born into horrific violence that has escalated since March 2015.
Calling for the needs of Yemen’s children to be prioritized, UNICEF’s “Born into War” report reminds involved parties of their legal obligations t...o protect children during conflict—delivering a wake-up call backed by sobering statistics.
5,000 children have been killed or injured in the violence; over 11 million require humanitarian assistance. With the collapse of basic services, schools are closing and disease is spreading. Children under 5 account for a quarter of suspected cholera and acute watery diarrhea cases, which have afflicted over 1 million people.
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According to the report:
More than 5,000 children have been killed or injured in the violence – an average of five children every day since March 2015.
More than 11 million children now need humanitarian assistance – nearly every child in Yemen.
More than half of the country’s ...children don’t have access to safe drinking water or adequate sanitation.
An estimated 1.8 million children are acutely malnourished, including nearly 400,000 severe acutely malnourished children who are fighting for their lives.
Nearly 2 million children are out of school, including almost half a million who dropped out since the conflict escalated in March 2015.
Suspected cholera and acute watery diarrhea have affected over 1 million people, with children under 5 years old accounting for a quarter of all cases.
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After years of relative calm, Zimbabwe has been grappling with a cholera outbreak since 12 February 2023. This resurgence is not an isolated incident, as 10 more countries (Malawi, Mozambique, Somalia, Kenya, Ethiopia, Zambia, South Sudan, Burundi, Tanzania and South Africa) in Eastern and Southern ...Africa are facing similar challenges with cholera an acute watery diarrhea.
To date, a total of 13,176 suspected cases and 1,543 confirmed cases have been reported.This stark reality underscores the need for continued coordinated action to control the spread of this preventable disease.
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WASH in schools during a cholera response is important due to the strong correlation between WASH and IPC. Not only can it impact the health and well-being of students and staff but also facilitate the potential spread of the disease via the congregation of children and adults from multiple househol...ds. Hygiene can often be more difficult to control with young children and therefore efforts to put in place systems to encourage good practices are essential.
To prevent the spread of cholera in schools, it is important to have clean and safe water sources, proper sanitation facilities, and good hygiene practices in place. This includes providing clean drinking water, hand-washing stations with soap, and education on hygiene and sanitation practices and implement Risk Communication and Community Engagement (RCCE) including dissemination of Information, Education and Communication materials (IEC).
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Decision-making for preparedness and response
THIS LEAFLET AIMS AT GUIDING YOU THROUGH THE VERY FIRST DAYS OF AN OUTBREAK
A manual for physicians and other senior health workers. This fourth revision of the manual reflects recent clinical experience and research findings in diarrhoea case management. Compared to earlier versions, it includes revised guidelines on the management of children with ...o-highlight medbox">acute diarrhoea using the new reduced (low) osmolarity ORS formulation and using zinc supplements, which have been shown to reduce duration and severity of diarrhoeal episodes, and revised guidelines for the management of bloody diarrhoea. Guidelines in the manual are based on the revised WHO chart that are included at the end of this document.
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What you should do as head of school or child centre to prevent cholera:
Educate all staff and pupils on the common cholera transmission routes and how to prevent it.
Educate all kitchen staff on how to handle food and cooking utensils. Emphasis the key points below:
o All kitchen staff MUST wa...sh their hands with soap and chlorine solution before cooking or handling food.
o All food should be properly stored to prevent contamination from insects etc.
o Wash all food in safe water.
o All food served should be properly cooked, and served hot.
o Only allow kitchen staff to enter the kitchen and to serve food.
o Wash dishes with soap or chlorine solution and rinse under safe water. Dry dishes on a rack well above the ground and in the direct sunlight (sunlight will help to disinfect).
All students should wash their hands with soap and safe water or chlorine solution before eating
Avoid washing your hands in a bowl of standing water, always use safe, running water!
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Poor sanitary conditions in disaster-stricken areas result in higher risk for diarrheal illness in vulnerable populations, especially children. This disease negatively impacts the nutritional status of affected children and cause...s significant morbidity and mortality. Early diagnosis and treatment are thus essential to reduce the impact of diarrheal diseases on people affected by disasters. Early identification of cases allows the implementation of measures needed to prevent or lessen outbreaks that can occur in displaced populations in this context. The use of primary care management tools, such as the Integrated Management of Childhood Illness (IMCI) strategy is highly important.This module will first discuss diarrheal diseases and their management, and dehydration and its treatments.
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Acute Radiation Syndrome (ARS) (sometimes known as radiation toxicity or radiation sickness) is an acute illness caused by irradiation of the entire body (or most of the body) by a high dose of pene...trating radiation in a very short period of time (usually a matter of minutes). The major cause of this syndrome is depletion of immature parenchymal stem cells in specific tissues. Examples of people who suffered from ARS are the survivors of the Hiroshima and Nagasaki atomic bombs, the firefighters that first responded after the Chernobyl Nuclear Power Plant event in 1986, and some unintentional exposures to sterilization irradiators.
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Acute Radiation Syndrome (ARS) (sometimes known as radiation
toxicity or radiation sickness) is an acute illness caused by
irradiation of the entire body (or most of ...the body) by a high dose
of penetrating radiation in a very short period of time (usually a
matter of minutes). The major cause of this syndrome is depletion
of immature parenchymal stem cells in specific tissues. Examples of
people who suffered from ARS are the survivors of the Hiroshima
and Nagasaki atomic bombs, the firefighters that first responded
after the Chernobyl Nuclear Power Plant event in 1986, and some
unintentional exposures to sterilization irradiators.
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A GUIDE FOR HEALTH WORKERS AND AUTHORITIES IN NIGERIA
This Technical Brief reviews current practice and evidence on nutrition-specific preventive approaches to MAM, providing practical guidance for implementers and programme managers, and highlighting gaps in evidence and guidance.